Exam 30: Alterations in White Blood Cell Function and Oncologic Emergencies

A female patient is concerned after learning that a person with whom she had a casual sexual encounter has been diagnosed as being HIV positive.Which other patient statement would the nurse evaluate as significant?

The nurse is assessing a patient for altered immunocompetence.Which findings would indicate that the patient is at risk for developing an immunocompetence-associated illness? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient hospitalized for treatment of a mediastinal malignancy is at risk for developing superior vena cava (SVC)syndrome.The nurse would monitor for the development of which signs of this disorder? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient with acute myelogenous leukemia is scheduled for a hematopoietic stem-cell transplant (HSCT).How would the nurse categorize this patient's treatment goal?

A 55-year-old patient tells the nurse that he seems to be getting "more colds" as he gets older.Which possible explanation would the nurse have for this observation?

A patient tells the nurse that he had a tuberculin test several months ago,and the site of injection became very red and inflamed.How should the nurse interpret this information?

A patient being treated with isoniazid for tuberculosis develops symptoms of systemic lupus erythematosus (SLE).The patient says,"I can't believe that I am so sick.First I get TB and now this.What is going to happen to me?" What nursing response is indicated?

The nurse is instructing a patient with a compromised immune status on the signs and symptoms of infections.What should be included in these instructions?

A patient infected with HIV is being monitored for the development of AIDS.Which characteristics would the nurse monitor? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient tells the nurse that it seems like the only time she gets a cold is when she is under higher than normal stress.What information should the nurse provide?

A patient with neutropenia develops a fever.Which nursing action is most important?

An older adult patient admitted with malnutrition begins to demonstrate signs of pneumonia.The nurse would explain which possible etiology of this pneumonia?

A patient receiving treatment for lymphoma suddenly becomes critically ill and is diagnosed with tumor lysis syndrome.The nurse would review laboratory results for which expected levels? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient is prescribed filgrastim (Neupogen).Which nursing intervention is indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The blood sample from a patient's bone marrow biopsy included Auer rods.The nurse would prepare to provide care for which disorder?

A patient in the acute care unit has developed neutropenia.A nurse would identify which history as a possible etiology of this condition?

A patient,recovering from skin grafts to the arm because of burn injuries,is demonstrating an increase of drainage,bleeding,and edema.The nurse prepares to treat which complication?

A patient with leukemia begins to have seizures.The nurse realizes that the onset of seizure activity is most likely associated with which occurrence?

A patient receiving a blood transfusion reports nausea and back pain 10 minutes into the transfusion.The nurse realizes the patient is experiencing which type of hypersensitivity response?

A patient with an autoimmune disorder says,"I don't know why this happened to me.I try to exercise and eat well." How should the nurse respond?